Investigating the relationship between acne and mood swings and temporary mood swings

Dissertation for obtaining a master's degree in the field of health sciences in nutrition

Abstract:

Scope and purpose: Acne is one of the most common skin diseases in the developed regions of the world, which a large number of the world's population suffers from during their lifetime. Its causes are still not fully known, and sometimes the usual treatments are associated with side effects.  From the point of view of traditional medicine, every person is born with an innate or genetic temperament, and throughout his life, due to various reasons, including the way he eats, he suffers from bad temper and illness. Therefore, considering the high prevalence of acne and the existence of many resources of traditional medicine in the field of simple and low-cost treatment of diseases and the emphasis of the World Health Organization as well as the general health policies of the country to promote and recognize the traditional medicine of Iran, this study was conducted in order to determine the relationship between the prevalence of acne and mountain temperament and temporary moodiness in people with acne. 

Method: This case-control study was conducted in 2012 with the participation of 425 people aged 15 to 35 who referred to the dermatology clinic of Qazvin University of Medical Sciences. Acne assessment was done using clinical criteria by a dermatologist and mood assessment was done using a valid and reliable researcher's questionnaire. SPSS version 16 software and statistical tests t-test, chi-square and Exact Fisher's test were used for data analysis, and the significance level for all tests was considered to be 0.05. 

Findings: The percentage of intrinsic hotness and hotness in the case group was significantly higher than the control group. (Pv=0.001) Also, the average symptoms of hot liver, dry liver and hot uterus were significantly higher in the case group than the control group (Pv<0.001), (Pv<0.001) and (Pv=0.002).  But the mean of uterine mood symptoms in the control group was significantly higher than the case group. (Pv<0.001)

The mean of symptoms of predominance of four mixtures (bile, tail, phlegm and soda) in the case group was significantly higher than the control group.  (Pv<0.05) regarding eating habits, the average consumption of ready-made food in the case group was significantly higher than the control group.  Pv=0.008) and the average consumption of dairy products in the control group was significantly higher than the case group.  (Pv<0.001)

Conclusion: The results of the present study showed that the susceptibility to acne is different in different temperaments. But in the hot and moist innate mood and the hot and dry liver mood and the warm uterus mood, the tendency of acne is more. Since in the view of traditional medicine, the way of life affects the mood and on the other hand, consumption of ready-made foods is associated with bad mood, and in this study, acne sufferers consumed more ready-made foods than the control group, and the level of liver bad mood was also higher in them; It seems that by determining the temperament of people and making the necessary recommendations, it is possible to help acne treatment.

Keywords: Mountain mood, bad mood, predominance of confusion, acne, traditional Iranian medicine.

The first chapter: Introduction and statement of the problem

1-1 Introduction

Acne

Definition and prevalence of acne

Acne is one of the most common skin diseases in the developed regions of the world, which a large number of the world's population suffers from during their lifetime. (Kornelia Szabo, 2011) Acne vulgaris is a multifactorial complication and usually has psycho-social disturbing effects, and about 40 million people in the United States suffer from it. And most of these people are teenagers and young people. (Yetunde Olutunmbi, 2008) More than 85% of teenagers suffer from this condition and in terms of gender, girls are affected more than boys. And almost 100% of people have experienced it at some point in their lives. On the other hand, as the severity of acne increases, its negative effects on the quality of life are greater. (Megha Kataria Arora, 2011)

The causes of acne

The pathogenic mechanism of acne is still not completely clear; But it is believed that it is related to high secretion from sebaceous glands, excessive follicular keratinization, p acne bacteria colonization and inflammation.(Yetunde Olutunmbi, 2008) Also, a review of more than 1000 studies showed that the levels of testosterone, progesterone, insulin-like growth factor and serum glucocorticoid in people with acne are higher than the levels of these hormones in healthy people, and the levels of estrogen are lower. (Megha, 2011Kataria Arora) A prospective study on 60 patients with severe acne showed that the levels of total cholesterol, LDL cholesterol, testosterone and progesterone in patients with acne are higher than healthy people and the levels of estrogen and HDL cholesterol are lower. (Megha Kataria Arora, 2010)

Acne treatment

Acne treatment includes a wide range of hormonal and non-hormonal treatments. Choosing the right method depends on the condition of the affected person, including the severity and type of acne, the medical condition of the person, the preferred type of treatment (oral or topical) and the hormonal and endocrine history of the person. If the affected person states that the occurrence of appendages is related to the menstrual cycle; In addition to the usual non-hormonal treatments, hormones should be used for successful treatment. Also, for more effectiveness of non-hormonal drugs, they are combined with hormonal substances. (Yetunde Olutunmbi, 2008)

Reports have shown that the use of hormonal drugs can cause various side effects, some of which are: nausea, vomiting, bleeding, weight gain and high sensitivity of the breasts to the touch. In some cases, more severe complications such as increased blood pressure and the formation of blood clots inside the vessels have been reported. (Yetunde Olutunmbi, 2008)

Iranian medicine and temperament

Complementary medicine and the World Health Organization

The World Health Organization has paid attention to the trend of the people of the world towards traditional and complementary medicine and the necessity of its revival and promotion, promotion and recognition of these sciences. is And in 1987, he announced in a statement: "Traditional medicine is a set of theoretical and practical sciences that are used in medical diagnosis, prevention and treatment of physical, mental and social disorders. And it has been transmitted from one generation to another in oral or written form." (WHO, 1987) and in 2000, provided another definition; In this context: "Traditional medicine is a general term that, in addition to traditional medicine systems such as Chinese traditional medicine, Indian Ayurveda, Greco-Arabic medicine, is also applied to various types of indigenous medicine. It states that traditional medicine treatments include drug therapy and non-pharmacological methods." (WHO, 2000)

Also, this organization considers the following as the reasons for the progress and promotion of traditional medicine:

Traditional medicine is considered a part of the culture of the people of different countries, which has certain advantages compared to all imported systems and plays a significant role in solving some cultural health issues. It is also easily accepted by the people. 

Traditional medicine looks at the body with a holistic view and emphasizes that disease is the result of the imbalance and balance of a person in the whole system that surrounds him. In this view, the invasive agent and pathogenic changes play a secondary role.

Traditional medicine is one of the most reliable ways to achieve health coverage for all the world and is among the acceptable, safe and economically justified methods. (WHO, 1987) (Alizadeh Fatemeh, 1389)

Iranian traditional medicine school

One ??of the richest schools of complementary and alternative medicine in the world is traditional Iranian medicine. This medicine is also used in some other countries of the world, including Arab countries, Greece and India. (Alizadeh Mehdi, 2013) The Iranian school of traditional medicine considers the universe to be a perfect system and regards it as the creation of a wise creator. This medicine emphasizes the prevention of diseases by teaching the right way of life and believes that with this measure, the number of patients and the amount of drug consumption will decrease. (Nasri, 1384)

1-1-2-2-1 Principles and foundations of traditional Iranian medicine

Iranian traditional medicine school, like other medical schools, has its own philosophical point of view and uses a set of specialized words and terms to express them. Therefore, in order to fully understand its propositions, it is necessary to learn, understand and use these words